P290 Postpartum maternal morbidity requiring hospital admission at tertiary medical college hospital, Agartala, Tripura, India - a descriptive study

Background: This observational study done on the indoor patients of department of Physical Medicine and Rehabilitation, Chittagong Medical College Hospital, admitted during the year 2011. The objective of this study was to see the most prevalent diseases admitted in our department.Methods: Participants (225) were all the patients admitted during the period of 2011. Patients admitted more than once were recorded once only. Patients data were taken from hospital records.Results: Spondyloarthropathies (SpA) comprised 18.66% of the patients. Total patient of SpA was 42. Among them AS was 47.62%. Prolapsed lumbar disk (PLID) patients constituted 12.44% (28) of hospital admission. Twenty one (9.33%) patients suffered from other causes lumbago-sciatica. Admitted RA patient number were 12 (5.33%) during this year. Total twelve patients with bone TB (5.33%) were admitted during 2011. Nine TB patients (75% of bone TB) had TB in the hip. Total Stroke patients admitted in that year were 9 (4%). Among them 8 (88.89%) were ischemic.Conclusion: SpA, PLID and other lumbago-sciatica patients comprised the major bulk of the patients in inpatient department of PM&R. Musculoskeletal diseases were the commonest cause of hospital admission for rehabilitation. Neurological causes were next common. Inflammatory musculoskeletal diseases also formed a good number of patients.DOI: http://dx.doi.org/10.3329/cmoshmcj.v13i1.19416

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Obstructe d Labour: A Life Threatening Complication

Medicine Today ◽

10.3329/medtoday.v29i1.33852 ◽

2017 ◽

Vol 29 (1) ◽

pp. 12-14

Author(s):

Jamila Khatun ◽

Khudeja Khanom

Keyword(s):

Maternal Death ◽

Rural Areas ◽

Maternal Morbidity ◽

Perinatal Death ◽

Medical College Hospital ◽

Perinatal Morbidity ◽

College Hospital ◽

Cross Sectional ◽

Obstructed Labour ◽

Medical College

Obstructed labour is an important cause of maternal death in developing countries. Obstructed labour also causes significant maternal morbidity mainly due to infection and hemorrhage and foetal death from asphyxia is also common. Objectives are to reduce maternal and newborn complications by early detection and rapid interventions and to reduce maternal and perinatal morbidity and mortality. This Hospital-based prospective cross-sectional study was conducted from June 2013 to June 2014 in Sylhet, MAG Osmani Medical College Hospital. 100 obstructed labour cases were selected those who were admitted in Inpatient department of Obstetrics and Gynaecology, SOMCH. 100 obstructed labour cases were recorded. The majority (80%) were residents of rural areas in which transportation were difficult, the occupation of the women were housewives mostly (90%) and remaining (10%) were tea-garden worker.75% of the obstructed labour cases did not have any ante-natal follow-up. Most of the cases (70%) were visited Osmani Medical College Hospital by their attendant. 70% Visited at 12-24 hours of labour, (80%) came from a distance of 10-50 kilometers. Cepholo-pelvic disproportion was the major cause of obstructed labour (78%) and cesarean section was the main way of delivery (95%). PPH (4%), puerperal sepsis (4%), rupture uterus (2%), VVF (2%), rupture uterus with shock (1%), were the main complications and maternal death (1%). Obstructed labour was the major causes of poor perinatal outcome and perinatal death (7%). This study revealed high incidence of maternal morbidity and perinatal morbidity and mortality.Medicine Today 2017 Vol.29(1): 12-14

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A descriptive study on dengue fever reported in a Medical College Hospital

Sahel Medical Journal ◽

10.4103/1118-8561.140285 ◽

2014 ◽

Vol 17 (3) ◽

pp. 83 ◽

Cited By ~ 4

Author(s):

Jimmy Antony ◽

TM Celine

Keyword(s):

Dengue Fever ◽

Descriptive Study ◽

Medical College Hospital ◽

College Hospital ◽

Medical College

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Clinico-Demograhic Profile, Treatment Outline and Clinical Outcome of 236 Confirmed Hospitalized COVID- 19 Patients: A Multi-Centered Descriptive Study in Dhaka, Bangladesh

Bangladesh Journal of Medicine ◽

10.3329/bjm.v31i2.48532 ◽

2020 ◽

Vol 31 (2) ◽

pp. 52-57

Author(s):

Quazi Tarikul Islam ◽

HT Hossain ◽

FR Fahim ◽

Mu Rashid

Keyword(s):

Clinical Outcome ◽

Treatment Protocol ◽

Descriptive Study ◽

Medical College Hospital ◽

College Hospital ◽

Case Record ◽

Medical College ◽

Global Pandemic ◽

Age Range ◽

Taste And Smell

Introduction :In Bangladesh, the first confirmed case of COVID1 9 was detectedon 8th March’2020, almost 3 months after the initial outbreak in late December’ 2019 in Wuhan, China.The number of affected cases and deaths both have become exponential during this global pandemic. Clinical data on COVID 19 in Bangladesh is still lacking. The objective of our study was to evaluate clinico-demograhic Profile, treatment Outline & clinical outcome within a defined period among COVID-19 Bangladeshi Patients. Methods: We conducted a retrospective multicenter descriptive study on epidemiological & clinical profile along with treatment outcomes of 236 Rt-PCR confirmed patients of COVID 19 from COVID dedicated units of 3 hospitals- Dhaka Medical College Hospital ( DMCH)(n-87), Kuwait Bangladesh Moitry Hospital ( KBMH)(n-50),Popular Medical College Hospital ( PMCH)(n-99) during the period of May to July 2020 with a pre-determined case record form. Results: Among the total 236 patients, highest percentage of patients (26%) belonged to 50-59 years age range, however it was found that no age was immune.Regarding gender distribution, two-third patients were male (65%) & one-third patients were female (35%).The predominant symptoms of our enrolled patients were fever (89%), cough (85%) & dyspnea (76%) ,fatigue (23%), chest pain (23%)& anosmia (19.5%), followed by gastro-intestinal symptoms. Almost half of the patients had been suffering from Hypertension (48%) and Diabetes (47%) Regarding treatment, 100% patients received tromboprophylaxis with low molecular weight Heparin (LMWH)& around 2/3 patients received steroid in different forms following treatment protocol of our national guideline. 20% patients required ICU support & death rate was 4.7%. Around two-third patients could be discharged in < 10 days’ time. Conclusion: Covid-19 in Bangladesh is presented in adult male with fever, cough and dyspnoea predominantly with occasional lack of taste and smell. Supportive care was effective with predominantly good outcome Bangladesh J Medicine July 2020; 31(2) : 52-57

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Paediatric COVID-19: Review of Hospital Experiences and Impact on Child Health Services in Bangladesh

Malaysian Journal of Paediatrics and Child Health ◽

10.51407/mjpch.v27i1.121 ◽

2021 ◽

Vol 27 (1) ◽

pp. 46-55

Author(s):

Manzoor Hussain ◽

Mohammad Abdullah Al Mamun ◽

Sayeeda Anwar ◽

Nazma Begum ◽

Abu Sayeed Chowdhury ◽

...

Keyword(s):

Child Health ◽

Hospital Admission ◽

Child Mortality ◽

Tertiary Care ◽

Medical College Hospital ◽

Routine Immunization ◽

College Hospital ◽

Medical College ◽

Paediatric Patients ◽

Tertiary Care Hospitals

Previous studies suggested that COVID-19 is more likely to infect older adults, particularly those with chronic comorbidities. However in Bangladesh, paediatric patients are on the rise. Three percent of children less than 10 years were identified as having COVID-19 infection. Though over 90% of the cases were mild or moderate in nature but many of them required hospital admission. So it appeared that local situation in Bangladesh seems to be different. This study was carried out to find out hospital experiences and impact of COVID-19 in child health in Bangladesh. Data were collected from three tertiary care hospitals of Bangladesh dealing majority of COVID-19 infected children. The hospitals were Dhaka Shishu (Children) Hospital, Dhaka Medical College Hospital and Mugda Medical College Hospital. As COVID-19 outbreak also adversely affecting different services among the children of Bangladesh, review was done to evaluate essential health delivery services especially routine immunization. Total 422 children were included from three tertiary care hospitals. They were predominantly male. Children of all age groups were infected. Significant numbers of children were admitted with moderate to severe illness (moderate 42.89%, severe 35.78% and critical 16.11%) with some casualties (mortality 4.27%). Routine immunization has already been hampered and threatened a significant increase in child mortality due to Vaccine Preventable Disease (VPD) in coming days. Paediatric patients were on the rise and unfortunately we noticed large number of hospital admission and some casualties already. Essential health care services should be preserved to prevent avoidable losses of child lives during the COVID-19 pandemic and to protect progress in reducing child mortality achieved over recent years.

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